Galaxy Beyond Walls Childcare

3280.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the book bag was missing tape.

Corrected by Jan 16, 2026

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the infant room the window on the right side of the room had peeling paint along the windowsill and frame. Behind the main entrance door was a hole in the wall with exposed damaged plaster.

Corrected by Jan 16, 2025

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3280.104 · High chairs shall have a wide base and a T-shaped safety strap.

At approximately 10am it was observed that an older toddler age child was in a highchair without the t-strap being used. The child was observed trying to climb out the top of the highchair.

Corrected by Jan 16, 2026

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3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility was not able to produce the written policies that address: recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment.

Corrected by Jan 15, 2026

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3280.34(b)(5)/3280.192(2)(ii) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #1, identified as a primary staff person, did not contain proof of education.

Corrected by Jan 16, 2026

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3280.14/3280.20 · 20 A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: PA Required Health and Safety Training

Corrected by Jan 15, 2026

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3280.17 · The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The facility did not have proof of Liability insurance.

Corrected by Jan 15, 2026

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3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The facility did not have proof that the emergency plan has been reviewed annually.

Corrected by Jan 15, 2026

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3280.26(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

The file for staff #1 did not contain proof of initial emergency plan training within 90 days of hire. The files for staff 2 and 3 did not contain proof of annual emergency plan training.

Corrected by Jan 16, 2026

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3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff #1's mandated reporter is dated 11/12/25 which is more than 90 days after date of hire(See LIS Code Sheet).

Corrected by Jan 16, 2026

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff #1 was observed to contain a state police clearance dated 11/10/25, child abuse clearance dated 5/5/25, DHS FBI clearance dated 5/2/25 all after the staff's date of hire(See LIS Code Sheet). Staff #2's two most recent NSOR certificates were dated 7/16/20 and 10/22/25 which are more than 60 months apart.

Corrected by Jan 16, 2026

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3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the infant room there was a protective outlet cover missing next to the entrance.

Corrected by Jan 16, 2026

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3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

The files for child #1 and 3 did not contain child service reports for children that have been enrolled for more than 6 months(See LIS Code Sheet).

Corrected by Jan 16, 2026

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3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Child #2's financial agreement did not contain the date of the child's admission.

Corrected by Jan 16, 2026

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3280.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Child #1's file did not contain 2 addresses of individuals designated by the parent to whom the child may be released.

Corrected by Jan 16, 2026

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3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Child #2's, a preschool age child(See LIS Code Sheet), most recent health assessment is dated 6/20/24 which is more than 12 months ago. Child #3's, a preschool age child(See LIS Code Sheet), most recent health assessment is dated 8/20/24 which is more than 12 months ago.

Corrected by Jan 16, 2026

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3280.131(d)(5)/3280.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization record on file for Child #3, a preschool age child(See LIS Code Sheet), includes 4 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age; 2 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age ; and 2 of 3 Polio vaccines recommended by the ACIP for a child this age.

Corrected by Jan 16, 2026

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3280.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Child #3's most recent health assessment dated 8/20/24 does not state that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Jan 16, 2026

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3280.151(a)/3280.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff #1's initial health assessment is dated 5/22/25 which is after date of hire(See LIS Code Sheet).

Corrected by Jan 16, 2026

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3280.151(c)(2)/3280.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff #1's TB test is dated 5/22/25 which is after date of hire(See LIS Code Sheet).

Corrected by Jan 16, 2026

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3280.94(a)(1) · Fire drills are conducted at least once every 60 days.

The facility did not have proof of fire drills being conducted before 10/2025.

Corrected by Jan 16, 2026

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3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

The facility did not have proof of fire alarm testing being conducted before 10/2025.

Corrected by Jan 16, 2026

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3280.35(3)/3280.192(2)(ii) · A secondary staff person shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff #4 and 5 did not contain verification of education.

Corrected by Jan 17, 2025

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3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The emergency plan did not address the continuity of operations in the event of an emergency.

Corrected by Jan 17, 2025

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3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the main room a protective outlet cover was missing from the outlet near the printer.

Corrected by Nov 20, 2024

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3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #1 and 5 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and 5, staff person #1 and 5 may not work in a child care position at the facility.

Staff person #1 and 5 was observed to be caring for children unsupervised. Staff person #1 and 5 does not have current pediatric first-aid/CPR training.

Corrected by Dec 6, 2024

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3280.26(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Staff #2's two most recent emergency plan trainings are dated 10/1/21 and 9/16/24 which are more than 12 months apart. Staff #3's most recent emergency plan training is dated 10/21/23 which in more than 12 months prior.

Corrected by Dec 10, 2024

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3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

Staff file #1 lacked 2 of the 12 hours of annual child care training required from 7/2023 to 7/2024. Staff file #2 lacked 7 of the 12 hours of annual child care training required from 9/2023 to 9/2024. Staff file #3 lacked 2 of the 12 hours of annual child care training required from 2/2023 to 2/2024. Staff file #6 lacked 12 of the 12 hours of annual child care training required from 12/2022 to 12/2023.

Corrected by Jan 17, 2025

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3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff #3 most current pediatric CPR and first aid training is dated 10/25/22 which is more than 24 months prior. Staff #6 2 most recent pediatric CPR and first aid training are dated 3/22/21 and 1/26/24 which are more than 24 months apart.

Corrected by Dec 6, 2024

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 may not work in a child care position at the facility.

Staff #2 two most recent DHS FBI clearances are dated 4/11/18 and 9/3/24 which are more than 60 months apart. Staff #5 contained a Department of Aging FBI clearance which is not acceptable and did not have a receipt that they completed their DHS FBI fingerprints. Staff #5 file contained a state police clearance that did not contain a dissemination date which makes it an unacceptable clearance.

Corrected by Jan 6, 2025

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3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

The tall cabinet in the kitchen area was unlocked it contained bleach which stated keep out of reach of children was accessible to children.

Corrected by Nov 20, 2024

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the infant room there was peeling paint around the window to the right.

Corrected by Nov 22, 2024

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3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

The file for child #4, who have been enrolled for more than 6 months(See LIS Code Sheet), did not contain a child service report.

Corrected by Dec 17, 2024

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3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Child #2's financial agreement did not contain the date of the child's admission.

Corrected by Dec 2, 2024

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3280.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment on file for Child #4 does not indicate if the child is free from contagious disease and may participate in child care.

Corrected by Jan 17, 2025

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3280.151(a)/3280.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff #6 two most recent health assessments are dated 4/6/21 and 9/3/24 which are more than 24 months apart.

Corrected by Nov 20, 2024

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3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The fire alarm testing log contained the following dates 10/10/24-11/20/24 which is more than 30 days apart.

Corrected by Nov 22, 2024

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3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The certificate of compliance that was posted was expired on 2/1/23.

Corrected by Nov 22, 2024

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3280.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g) (10) within 90 days of hire. Staff person #1, 4, and 5 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #1, 4, and 5 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, 4, and 5, staff person #1, 4, and 5 may not work in a child-care position at the facility.

Staff person # 1, 4, and 5 has CPR training in a non-approved curriculum and the trainer has not provided documentation that they are PQAS-certified.

Corrected by Dec 6, 2024

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3280.131(a)/3280.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

The file for child #1, who enrolled more than 60 days ago(See LIS Code Sheet), did not contain a health assessment. Child #3's initial health assessment was dated 1/24/23 which was more than 60 days after enrollment(See LIS Code Sheet).

Corrected by Jan 6, 2025

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3280.26(c)/3280.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for Staff #1, Staff #2, Staff #4, and Staff #5 did not contain documentation of Emergency Plan Training in 2023, which exceeded the annual requirement.

Corrected by Jan 26, 2024

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3280.31(e)(4)(i)/3280.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Until such time as the required trainings are completed, Staff #5 must be supervised, when interacting with child by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #5, Staff #5 may not work in a child care position at the facility.

The file for Staff #5 contained documentation of Pediatric First-Aid/CPR on 5.22.21, which has expired, and none thereafter.

Corrected by Jan 26, 2024

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3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff #3 (see IS Code Sheet) contained a State Police Clearance dated 11.26.23, with no application available, which was after the start date with children. The file for Staff #4 contained FBI Clearances dated 4.11.18 and 11.8.23, which exceeded the 60-month renewal requirement.

Corrected by Jan 16, 2024

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form, in the file for Child #1, did not contain the enrolling parent's work address.

Corrected by Jan 19, 2024

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3280.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The Emergency Contact form, in the file for Child #2, did not contain the release person's phone number.

Corrected by Jan 16, 2024

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3280.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

An unattached floor grate was present in the main room, creating a tripping/scraping hazard for children in care.

Corrected by Nov 10, 2022

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling plaster/paint was present on the white wall, to the left of the window in the main room, and was accessible to children in care.

Corrected by Nov 9, 2022

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3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The files for Staff #2 and Staff #3 did not contain documentation of completion of the Mandated Reporter training within 90 days of their date of hire (see IS Code Sheet).

Corrected by Nov 12, 2022

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3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Based on a conversation with the operator, a Shaken Baby Policy was not created or implemented.

Corrected by Nov 9, 2022

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3280.26(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Documentation was not present that the Emergency Plan was sent to the local municipality and the county emergency management agency.

Corrected by Nov 15, 2022

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #3 may not work in a child care position at the facility.

The file for Staff #2 (see IS Code Sheet) contained an NSOR Clearance dated 6.27.22, and did not have proof of applying for this clearance prior to the start date. The file for Staff #3 (see IS Code Sheet) contained: State Police Clearances dated 5.1.17 and 10.27.22, which exceeded the 60-month renewal requirement, no Child Abuse Clearance, an FBI Clearance dated 4.4.17, which has expired.

Corrected by Nov 23, 2022

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3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The rest equipment was not labeled for the use of specific children.

Corrected by Nov 9, 2022

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3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

A thermometer was not located in the refrigerator in the Infant Room.

Corrected by Nov 9, 2022

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3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The Emergency Contact form, in the file for Child #3, did not contain the phone number of the physician or source of medical care.

Corrected by Nov 10, 2022

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3280.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The Emergency Contact form, in the file for Child #4, did not contain the release person's address.

Corrected by Nov 10, 2022

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3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files of Child #1, Child #2, Child #4, and Child #5 did not contain documentation that the parent reviewed and updated the Emergency Contact information and the Financial Agreement once in a 6-month period or as soon as there was a change in the information.

Corrected by Nov 22, 2022

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3280.131(d)(5)/3280.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The Immunization Record, in the file for Child #2, did not contain documentation of the following vaccinations in accordance with the schedule recommended by the ACIP: Rotavirus, DTAP, HIB, Pneumococcal, Polio, Influenza, MMR, Varicella, and Hepatitis A.

Corrected by Nov 23, 2022

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3280.151(a)/3280.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #1 (see IS Code Sheet), contained Health Assessments dated 7.20.22 & and 11.4.22, and a tuberculin skin test on 11.4.22, which exceeded the start date. The files for Staff #2 (see IS Code Sheet) and Staff #3 (see IS Code Sheet), contained a Health Assessment and tuberculin test dated 10.27.22, which exceeded the start dates. The file for Staff #5, contained Health Assessments dated 8.10.20 and 11.4.22, which exceeded the 60 -month renewal requirement.

Corrected by Nov 14, 2022

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3280.192(2)(ii)/3280.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The files for Staff #1, Staff #2, and Staff #4 did not contain verification of education.

Corrected by Nov 16, 2022

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3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Based on a conversation with the operator, an Emergency Drill had not been conducted.

Corrected by Nov 11, 2022

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3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The files for Staff #3, Staff #4, and Staff #5 did not have documentation of the completion of the following required pre-service training within 90 days of their date of hire (see IS Code Sheet): Pediatric First Aid/CPR. The file for Staff #5 did not have documentation of the completion of the following required pre-service training within 90 days of the date of hire (see IS Code Sheet): Health & Safety Basics.

Corrected by Nov 12, 2022

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3280.32(c) · The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Upon a second review of the file for Staff #1, who was employed from 11.12.21 to 07.21.22, it was determined that Staff #1 should not have been employed due to felony convictions observed on the State Police clearance. These felony convictions represent crimes of physical violence or moral corruptness.

Corrected by Jul 21, 2022

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3280.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The Emergency Contact Forms in the files for Child #2 and #3 did not include the insurance policy numbers.

Corrected by Dec 30, 2021

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

The file for Staff Person #1 did not include an FBI Clearance. The file for Staff Person #1 also lacked out of state clearances for Washington and West Virginia, where Staff Person #1 has lived during the past five years.

Corrected by Dec 29, 2021

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3280.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit did not contain gloves.

Corrected by Dec 17, 2021

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed damaged paint/plaster in the following areas: Peeling paint on the wall behind the toilet in the bathroom. Damaged plaster on the wall of the main room by the smoke detector and on the ceiling in the hall by the smoke detector.

Corrected by Jan 7, 2022

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3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The Fee Agreement in the file for Child #1 did not specify the child's departure time. The Fee Agreement in the file for Child #3 did not specify the child's arrival and departure times.

Corrected by Dec 30, 2021

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3280.123(a)(5)/3280.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

The Fee Agreements in the files for the five children reviewed did not specify the release persons or the dates of admission.

Corrected by Dec 30, 2021

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact Forms in the files for Child #1 and Child #5 did not include the work addresses and telephone numbers of the enrolling parent.

Corrected by Dec 30, 2021

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3280.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The Emergency Contact Form in the file for Child #1 did not include the name, address and telephone number of the release persons. The Emergency Contact Forms in the files for Child #4 and #5 did not include the addresses of the release persons.

Corrected by Jan 2, 2022

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3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency Contact Forms were not present in the child care spaces where children were receiving care.

Corrected by Dec 23, 2021

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3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The Emergency Transportation Plan was not posted in the Infant Room.

Corrected by Dec 18, 2021

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3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Safe routes (pickup and drop-off procedures) were not posted at the facility.

Corrected by Dec 23, 2021

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3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The Emergency Contact Form in the file for Child #4 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Dec 28, 2021

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3280.182(8) · A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The fee agreements in the files for the five children reviewed were the original agreements.

Corrected by Dec 19, 2021

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3280.192(2)(ii)/3280.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff Person #2 did not include verification of education and child care experience.

Corrected by Jan 11, 2022

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3280.94(a)(4) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The evacuation point, rather than the hypothetical location, was listed as the hypothetical location on the fire drill log.

Corrected by Dec 17, 2021

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3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The operator had not notified local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Corrected by Jan 11, 2022

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3280.95(a)/3280.95(b) · (a) Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).(b) The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The operator did not have on file proof of purchase for the interconnect smoke detectors.

Corrected by Aug 17, 2021

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3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to be provided to parents explaining the emergency procedures did not include the procedures for a lockdown.

Corrected by Aug 20, 2021

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3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

There was no signed disclosure statement on file for Facility Person #1.

Corrected by Aug 20, 2021

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3280.61(e) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

The main room to be used for child care included a gated off kitchen area at one end that included a stove.

Corrected by Aug 13, 2021

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3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Aug 20, 2021

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3280.95(a)/3280.95(b) · (a) Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).(b) The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Two of the smoke detectors at the facility were not interconnected with the other three smoke detectors.

Corrected by Aug 15, 2021

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